Skip to main content

The CEHRS Exam Blueprint — Know Before You Study

Duration: 30 min · Level: Foundational · Module: 1. The EHR Ecosystem · Focus: exam, NHA, blueprint, CEHRS, strategy

Learning objectives

By the end of this lesson you will be able to explain and apply:

  • Exam format
  • Passing score
  • Domain 1
  • Domain 2
  • Domain 3

You will then consolidate these ideas in the hands-on lab below.

Why this matters​

The NHA CEHRS exam has a precise blueprint.

Overview​

The NHA CEHRS exam has a precise blueprint. Knowing which domains carry the most weight — and what question types appear — lets you allocate study time efficiently. Most candidates who fail did not fail because the material was too hard; they failed because they did not know where the exam lived.

Key concepts​

Key idea

Exam format: 130 total questions (110 scored + 20 unscored pretest items); 2 hours 40 minutes; computer-based at PSI testing centers or online proctored

  • Passing score: 390 out of 500 (scaled); NHA does not disclose the raw score equivalent, but roughly 70-72% correct answers on scored items
  • Domain 1 — Health Record Documentation: 22% (highest weight); chart completion, documentation requirements, EHR workflows
  • Domain 2 — Medical Terminology and Anatomy: 21%; prefixes/suffixes/roots, body system terms, abbreviations
  • Domain 3 — Health Information Management: 20%; MPI, release of information, record retention, data quality
  • Domain 4 — Regulatory Requirements: 17%; HIPAA Privacy, HIPAA Security, state laws, consent
  • Domain 5 — Revenue Cycle Management: 12%; registration, insurance, coding basics, claims
  • Domain 6 — Information Technology: 8%; EHR functions, system security, interoperability
Hands-on lab

Create your personal study plan: allocate study hours proportionally to domain weights. If you have 40 hours total, Domain 1 gets 8.8 hours, Domain 2 gets 8.4 hours, etc. Identify your two weakest domains and add 20% extra time to each.

Check your understanding​

Try to recall each answer before expanding it.

Q1. What do you know about Exam format?

130 total questions (110 scored + 20 unscored pretest items); 2 hours 40 minutes; computer-based at PSI testing centers or online proctored

Q2. What do you know about Passing score?

390 out of 500 (scaled); NHA does not disclose the raw score equivalent, but roughly 70-72% correct answers on scored items

Q3. What do you know about Domain 1?

Health Record Documentation: 22% (highest weight); chart completion, documentation requirements, EHR workflows

Q4. What do you know about Domain 2?

Medical Terminology and Anatomy: 21%; prefixes/suffixes/roots, body system terms, abbreviations

Q5. What do you know about Domain 3?

Health Information Management: 20%; MPI, release of information, record retention, data quality

← Previous: C1.3 Anatomy of an EHR: Modules, Interfaces & Workflows

Part of Module 1: The EHR Ecosystem.